Provider Demographics
NPI:1447352356
Name:BALOG, FRANCIS ALAN (RPH)
Entity type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:ALAN
Last Name:BALOG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 NEW CASTLE RD
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-2418
Mailing Address - Country:US
Mailing Address - Phone:724-282-5503
Mailing Address - Fax:724-285-2700
Practice Address - Street 1:325 NEW CASTLE RD
Practice Address - Street 2:70 PH
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-2418
Practice Address - Country:US
Practice Address - Phone:724-282-5503
Practice Address - Fax:724-285-2700
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP030498L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist